Boland P A, Quidwai S T, Mitru R, McCarthy E, Aremu M
Department of Surgery, Connolly Hospital Blanchardstown, Dublin 15.
Department of Radiology, Connolly Hospital Blanchardstown, Dublin 15.
Ir Med J. 2020 Jan 16;113(1):12.
Presentation We describe an unusual presentation of sigmoid colon perforation secondary to an ingested chicken bone. Diagnosis The patient presented with a 4 day history of abdominal pain and distension. On examination there were signs of peritonism. Inflammatory markers were raised. Computed tomography revealed a linear density projecting through the wall of the colon. Treatment The patient underwent emergency laparotomy and a Hartmann's procedure. A chicken bone was found to be the causative foreign object. Conclusion Foreign body ingestion is an uncommon cause of sigmoid perforation which may mimic more common surgical presentations such as diverticulitis.
病例报告 我们描述了一例因吞食鸡骨导致乙状结肠穿孔的罕见病例。诊断 患者有4天的腹痛和腹胀病史。检查时发现有腹膜炎体征。炎症指标升高。计算机断层扫描显示一条线性高密度影穿透结肠壁。治疗 患者接受了急诊剖腹手术及哈特曼手术。发现一块鸡骨是导致穿孔的异物。结论 异物吞食是乙状结肠穿孔的罕见原因，其表现可能类似更常见的外科疾病，如憩室炎。
